Registration
New Mentorship Form (basic Info)
Personal Details
Full Name (as per official ID)
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e.g., Dr. Deo Dev, Prof. A. Kumar
Primary Email Address
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e.g., name@institution.edu
Country of Residence
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Afghanistan
Aland Islands
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
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Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
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Poland
Portugal
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Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
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Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Select your country
WhatsApp Number
with country code e.g., +91-98xxxxxxx
Alternate Mobile Number
(if any)
Password
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Eight characters minimum
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One lowercase letter
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One uppercase letter
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One number
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One special character
Resume/CV (PDF preferred)
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Drop a file here or click to upload
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Maximum file size: 5MB
PDF preferred. Include education, current role, recent workshops/publications. Max 5 MB.
Upload Profile Photo
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Maximum file size: 2MB
Consent
*
I have read and accepted the
Terms and Conditions
I agree to provide mentorship and subject-matter training for workshops organized by NSTC.
I accept the remuneration Offering amount on Claim Form as offered by NSTC.
I also accept to receive a mentorship certificate after successful completion of sessions. I understand this agreement is valid for 11 months from the date of signing and I agree to renew it thereafter for continued engagement.
Current Information
Total Experiance (In Year)
*
Current Organization
If not applicable, type last organization.
Current Department
If not applicable, type last department.
Current Designation
If not applicable, type last designation.
Biography
Skills
Please list your skills, separated by commas (,) i.e. Skill-1, Skill-2, Skill-3
Expertise & Industries
Professional Profile & Expertise
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Current Designation / Role
Department / Specialization
Name of the Organization
Key Technical Skills & Tools
Types of Audiences You Serve
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Teaching & Mentoring Experience
Teaching / Mentoring Positions
Course / Subject Taught
Institute / Organization
Start Date
End Date
Currently Working Here
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Education
Degree / Program
Role / Position During This Degree
Senior Research Scientist, Student, MSc in Chemistry, PhD in Materials Science ...
University / Institution Name
Start Year
End Year
Academic Highlights (Subjects, Projects, Awards & Achievements)
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Languages & Modality
Languages You Can Teach In
Preferred Teaching Mode(s)
Online
In_person
Hybrid
Online Meeting Platforms You Use
Zoom
Google meet
Microsoft Teams
Other
Online Meeting Platforms You Use
Fees & Session Policies
Preferred Payment Currency
USD
INR
Standard Hourly Rate (1:1 sessions)
Corporate / Institutional Rate (per hour)
Minimum Booking Notice (hours)
Free Cancellation Window (hours before session)
Rescheduling Window (hours before session)
General Availability & Calendar
Recurring Availability Pattern
Daily
Weekly
Monthly
Available Time Windows (24-hour format)
Any Time
0.00 - 3.00
3.01 - 6.00
6.01 - 9.00
9.01 - 12.00
12.01 - 15.00
15.01 - 18.00
18.01 - 21.00
21.01 - 23.59
Days
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Every Day
Week
*
Contact Links
Platform
Website
ORCID
Google Scholar
LinkedIn
Other
Platform
Website/URL
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For admin Only
Email
Profile Pic URL
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Signature
Primary Domain
*
AI
Artificial Intelligence
AI-ML
Architecture
Biotechnology
Chemistry
Computer Science
EHS
Electrical
Engineering
Finance
Law
Life Sciences
Mechanical Engineering
Management
Miscellaneous
Nanotechnology
Pharmacy
Sustainability
Solar
Other
Other Domains
AI
Artificial Intelligence
AI-ML
Architecture
Biotechnology
Chemistry
Computer Science
EHS
Electrical
Engineering
Finance
Law
Life Sciences
Mechanical Engineering
Management
Miscellaneous
Nanotechnology
Pharmacy
Sustainability
Solar
Other
Registered as
*
Trainer
Mentor
Advisor
Reviewer
Industry Expert
Participant
Program Manager
Student
Comments/Remark
Program manager Email
akshay@nstc.in
amit.rai@celnet.in
ankita@nstc.in
chitragupta4938@gmail.com
hemauraw033@gmail.com
manish@celnet.in
nanoschool@nstc.in
preetipreeti1711@gmail.com
puneet@reinste.com
srishti@nstc.in
Program manager name
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